As of the July, 2022, release via CMS

LOS ALAMITOS MEDICAL CTR.

CMS id: 050551
3751 KATELLA AVE., LOS ALAMITOS CA 90720. County: ORANGE
System: TENET HEALTHCARE CORPORATION
CBSA: Los Angeles-Long Beach-Anaheim, CA

The 172-bed, acute-care hospital had $16,058,665 in net service to patients*, with a total profit margin of 11.51447% in fiscal year 2021, the latest year available.
It spent 1.03% of its operating expenses on uncompensated care and reported $12,553,141 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	125 118	129 118	129 119.5	133 118	155 119
Total beds Median	167 162	146 162	146 162	150 162	172 163.5
FTEs Median	746.90 788.06	713.90 793.42	717.30 806.03	636.90 787.61	654.20 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	212,577,424 150,932,746	222,849,241 158,950,878	215,617,337 168,696,998	202,695,405 163,454,693	223,328,783 186,589,412
Operating expenses Median	193,944,300 149,311,209	200,027,179 156,110,414	197,900,517 164,890,568	201,092,079 166,516,854	207,270,118 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,633,124 -964,173	22,822,062 -643,601.5	17,716,820 -116,254	1,603,326 -5,025,862	16,058,665 -1,284,564
NS2P margin ? Median	8.77% -0.62	10.24% -0.29	8.22% 0.18	0.79% -5.07	7.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LOS ALAMITOS MEDICAL CTR. compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	2,063,980 5,089,215	1,602,167 4,572,541	1,487,882 5,268,134	1,335,161 13,092,619	10,913,051 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	-618 299,524	159 188,688.5	177 370,813	16,329 309,361.5	540 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	1,355	1,506	531	1,490	680
⊳ Line 11: Rebates and refunds of expenses	62,435	65,002	62,393	92,227	211,345
⊳ Line 12: Parking lot receipts	1,015,876	980,882	985,327	872,437	716,756
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	12,927	16,493	15,281	14,354	26,986
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	1,237	912	817	8,417	10,062
⊳ Line 22: Rental of hospital space	192,474	208,414	226,470	228,060	237,353
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	778,294	328,799	196,886	101,847	9,709,329
Total income ? Median	20,697,104 6,586,430	24,424,229 6,767,106	19,204,702 8,419,950	2,938,487 8,094,175	26,971,716 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	20,697,104 6,043,842	24,424,229 5,845,112	19,204,702 7,606,259	2,938,487 7,283,041	26,971,716 14,957,241
Net margin Median	9.64264% 4.62%	10.88174% 4.42%	8.84580% 5.16%	1.44022% 5.2%	11.51447% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for LOS ALAMITOS MEDICAL CTR. compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	38,761,965 23,241,334	36,538,026 23,709,545	32,090,330 24,248,380	32,840,329 22,858,541	36,719,200 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	32,502,047 21,577,146	32,535,239 22,041,594	32,090,330 22,722,063	32,840,329 21,570,441	36,719,200 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	6,259,918 1,845,420	4,002,787 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	11,963,616 11,160,864	12,930,364 11,987,345	14,411,677 12,926,866	13,187,975 11,884,480	12,014,519 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	11,963,616 10,918,923	12,930,364 11,706,976	14,411,677 12,615,917	13,187,975 11,458,116	12,014,519 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	542,519 594,888	600,235 595,761	491,584 577,894	304,836 542,168	598,594 549,667
Outlier Median	2,612,169 582,572	2,259,716 538,116	2,422,341 212,434	87,806 126,559	167,909 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,734,646 3,662,910	7,850,535 3,730,911	10,422,259 4,081,319	9,263,749 4,643,908	12,553,141 4,389,147
Charity care Median	1,280,352 2,654,636	1,668,002 2,940,659	1,522,290 3,380,215	1,950,716 3,488,738	1,359,690 3,233,405
Uncompensated care (UCC) Median	2,111,213 5,147,790	2,630,728 5,337,617	2,517,120 5,711,082	2,882,660 5,923,418	2,125,737 5,508,107
UCC as a % of operating expenses Median	1.09% 3.24	1.32% 3.12	1.27% 3.21	1.43% 3.3	1.03% 2.86
Total shortfall/UCC Median	10,845,859 9,489,989	10,481,263 9,424,297	12,939,379 10,120,158	12,146,409 11,171,337	14,678,878 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	81,022,985 52,142,039	80,725,282 54,485,252	83,978,084 57,395,589	82,946,335 58,830,919	82,402,825 61,722,907
Salaries as a % of operating expenses Median	41.76 36.68	40.35 36.56	42.14 36.37	41.23 35.93	39.74 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	2,308,525 1,449,244	3,655,043 1,475,986	3,890,037 1,563,078	5,078,835 1,721,954	6,286,541 2,991,828
Contract hours, direct-care Median	34,493.00 22,725	51,896.00 23,018.5	59,667.00 24,503.48	57,417.00 25,026.5	49,573.00 33,786
Contract wages, direct-care Median	66.93 64.67	70.43 64.53	65.20 65.06	88.46 68.97	126.81 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.